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Peri-abortion contraception: a qualitative study of users' experiences
Usha Kumar1, Paula Baraitser, Sheila Morton
1Department of Sexual and Reproductive Health, Southwark Primary Care Trust, St. Giles Hospital, St. Giles Road, London SE5 7RN, UK. akumar5902@aol.com
The Journal of Family Planning and Reproductive Health Care
|March 10, 2004
Summary
Contraceptive counseling during abortion services is often ineffective, with many women not adopting reliable methods post-procedure. Improved strategies are needed to enhance peri-abortion family planning uptake.
Area of Science:
- Reproductive Health
- Women's Health
- Public Health
Background:
- Contraceptive counseling is integral to induced abortion care.
- Current counseling methods raise concerns regarding their effectiveness in preventing subsequent unintended pregnancies.
Purpose of the Study:
- To explore factors influencing contraception use around the time of induced abortion.
- To understand women's experiences with peri-abortion contraception.
Main Methods:
- Qualitative study involving in-depth interviews with 21 women post-abortion.
- Data analyzed using qualitative methods.
Main Results:
- High rates of contraceptive risk-taking observed both before and after abortion.
- Few women transitioned to more reliable contraceptive methods post-abortion.
- Contraception discussions were often delayed and lacked sufficient detail from healthcare providers.
Conclusions:
- Peri-abortion contraceptive counseling effectiveness was disappointing.
- Suggests a need for specialized family planning support, such as an outreach nurse, to improve post-abortion contraception uptake.